756 Aquatic Dr ACC19-0085 Shed ACCESSORY PERMIT PERMIT NUMBER
ACC19-0085
9 CITY OF ATLANTIC BEACH ISSUED:
SEMINOLE ROAD 11/4/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 5/2/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
756 AQUATIC DR ACCESSORY SINGLE OR TWO SHED $500.00
FAMILY ACCESSORY
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171818 5252 AQUATIC GARDENS
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
DOMINGO DEBR A 756 AQUATIC DR ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIO
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters,
Phillips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way.
Issued Date: 11/4/2019 1 of 2
c
..../..3 ACCESSORY PERMIT PERMIT NUMBER
v`� ACC19-0085
0 CITY OF ATLANTIC BEACHISSUED: 11/4/2019
800 SEMINOLE ROAD
`44o.ri19' v ATLANTIC BEACH, FL 32233 EXPIRES: 5/2/2020
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration,including sod,is required.
4 PUBLIC WORKS CONSTRUCTION SITE MANAGEMENT INFORMATIONAL
Notes:
Provide construction site management plan,including location of silt fence,dumpster,portable toilet. Right-of-Way Permit is required if using right-of-
way for construction parking.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $55.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $27.50
PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL:$211.50
Issued Date: 11/4/2019 2 of 2
ro..m,y� City of Atlantic Beach APPLICATION NUMBER
�3 31 Building Department (To be assigned by the Building Department.)
800 Seminole Road i Q _ /�/�
,� Atlantic Beach, Florida 32233-5445 ���ct 1 N V
Phone(904)247-5826 • Fax(904)247-5845 0
�6�� J E-mail: building-dept@coab.us Date routed: I z8 t
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: '7363 rA go Pc'rt C 1_J2 Department review required Yes o
�ildi (�
Applicant: 0 W KJe9---- Wining &Zoni_ n-.•.'
Tree Administrator
CProject: j C-(E(� Cublic w_2,
(ublic Utilities—,
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 11�Rpproved. Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING / /Reviewed by: `4) Date: /0. 7//9'
TREE ADMIN. Second Review: Approved as revised. [Denied. ❑Not applicable
•
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
51''1% Building Permit Application Updated 10/9/18
jsr� ` ' OFFICE COPY
A=1; City of Atlantic Beach Building Department **ALL INFORMATION
j 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
moo'; IS IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us j� i(�
Job Address: -7`�LP _AC tta+ . 1).") 7t X81 ( 2 Z 3�Permit Number: I't cc l-1 ` 0055
Legal Description CIL4-4top,r S kook_ RE# 'WI /7/Pa—52,5*-2-
Valuation of Work(Replacement Cost)$ f C)C) Heated/Cooled SF Non-Heated/Cooled
• Class of Work: CNew DAddition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial pResidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) f11L-
Describe in detail the type of work to be performed:
ot
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name1t�
A-e bh-LJ)Ci'ld.A-t-iC''L,) Address 751r.1IC6-1. -) 4v<---i
City 4 lc,.(1-hc_-h 16C J State -rt. Zip J 1 Z 3 4 Phone (-JCS-I 434,- Q4.. r
E-Mail CtJ 4J-t/A t--ib2-0-10-04 1C'crrm
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information �Eg(3 tab 5 0 Z @ °Ln [ ,co rrA
Name of Company Qualifying Agent
AddressCity State Zip
Office Phone Job Site Contact Number
State Certification/Registration# E-Mail
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt❑ Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECOR ING YOUR-NOTICE OF COMMENCEMENT.
-2 b3-L ` - nt-rc)
yignatuowner or'A� — (Signature of Contractor)
ed nd sworn to or af' •-i)befo -s- s2E0ay of Signed and sworn to(or affirmed)before me this day of
20 , I, a4'0 Act_ ' , by
;:P ':F ;. TONI GINDLESPER6:r p�� na +!:•ary (Signature of Notary)
f,,:: �•, .,; MY COMMISSION 0 GG 363178 I
-1.: 74� a' EXPIRES:October 6,2023 i
o''r61%'P. BOtlded wn
t‘ viders i [ ] Personally Known OR
[ ] Produced Identification C [ ] Produced Identification
Type of Identification: Ja /z—[ (. ,( 7 o—03b`? Type of Identification:
ALL
Owner Builder Affidavit **HIGHLI HIGHLIGHTED
ON
HIGHLIGHTED IN
'JS ,.4:; City of Atlantic Beach Building Department GRAY IS REQUIRED.
iiV
'5 800 Seminole Rd, Atlantic Beach, FL 32233 ///
` f'''r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: /W 1�Oo 5.--
I.
I. FLORIDA STATUTES;CHAPTER 489, FLORIDA STATUTES, PART 1"CONSTRUCTION CONTRACTING" REQUIRES
OWNER/ BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED
FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER
OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE.
YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY
ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS.
THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE
CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH
IS IN VIOLATION OF THIS EXEMPTION.
YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS.
IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES
REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
II. INJURY LIABILITY;SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. .
• III. IRS WITHHOLDING;OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING
TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO$5,000 PENALTY UNDER FLORIDA STATUTE NO.455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE
OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS
CERTIFICATE"TO ASCERTAIN IF A PERSON ISA LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904-
247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
Job Address: -it 19 A epx all L 1�✓I - Lye.. '',-{1C )�s I I ' Z
Owner Name: ue )4-me_ bC,Aunt() Phone Number:
Mailing Address: 52 r\(,'� City: State: Zip:
Notarized Signature of Owner S 05I1S--
Th egoing instr ment was acknowledged before me thiss y of AN. - ,249, in the State of Florida, County
of ��\T� !
,
OFFICECOPY Signature of Notary Public t • iltb„,. _
[ ] Personally Known OR [ ] Produced Identification or
REVIEWED FOR CODE pitu_rype,„ticyur,,E.tification:ion: L ( ,
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL Updated 10/24/18
REQUIREMENTS AND CONDITIONS •t:'.c�4'�•. TONI GINDLESPERGER
• i�'.t MY COMMISSION#GO 353178
REVIEWED BY' /7140 - / 1`(Pal -m;••/-,: EXPIRES:October 6,2023
DATE: `O� fir• . : _demit rs
�'��F�F���� t�1n�Tt�1�Notary PUI�i U1No1-11�u+
717950816 01BP
Owner's Manual
lkik
& Assembly GuideARROW
A caution STORAGE PRODUCTS
WWW.arrowsheds.com
sharp edgeses * Model No. PM1012
Gloves must be worn --/ --I-3
all times toreduce
I 01 x 12'
risk of injury!!
_. )
Nominal Size
....................0..,........0....................,.................,V,/. ..441411444
.-- ________________,, 1*.L................ ... ''-,-,,,,,,,,,
--- - .4_ _ ________ _
,7,v7, .
0El / 00.00,77777
O
Customer Service:
1-800-851-1085 or Base 121" x 143 1/4"
assist@arrowsheds.com Size 307,3 cm x 363,9 cm
BUILDING DIMENSIONS 1-Size rounded off to the nearest foot For proper base construction see page 12
Exterior Dimensions Interior Dimensions Door
Approx.t Storage (Roof Edge to Roof Edge) (Wall to Wall) Opening
Size Area Width Depth Height Width Depth Height Width Height
10'x 12' 115 Sq.Ft. 729 Cu.Ft. 123 1/4" 145 3/4" 86" 118 114" 140 1/2" 84 3/4" 55 1/2" 64 1/2"
3,0 m x 3,6 m 10,7 m2 20,6 m3 313,1 cm 370,2 cm 218,4 cm 300,4 cm 356,9 cm 215,3 cm 141,0 cm 163,8 cm
*See Inside for Detailed Safety Information.
.11-utri City of Atlantic Beach APPLICATION NUMBER
v r `� Building Department (To be assigned by the Building Department.)
`; 800 Seminole Road
Atlantic Beach, Florida 32233-5445 R e_C-lq �c s
Phone(904)247-5826 • Fax(904)247-5845
-4013 0- E-mail: building-dept@coab.us Date routed: I 0 Z-153
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: '75 6, P\ gofv-rl e U (L Department review required Yes No
_
(Building
Applicant: CD GO (�E{� Planning &Zoning
Tree Administrator
Project: S &fc.(T C Public Works
Public_lZtilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: pproved. ['Denied. ['Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: - Date: 1 i ( — (�
TREE ADMIN.
Second Review: ['Approved as revised. ❑Denied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
S-j‘nri,, TREE & VEGETATION AFFIDAVIT FOR INTERNAL OFFICE USE ONLY
•�� City of Atlantic Beach PERMIT#
f
7:M ? Community Development Department
w V~ 800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800
SITE INFORMATION r �1,,
ADDRESS 7'Zd ,{TG'1.� � i L � . A4hc ?v 1 a- !.)2Z-5
P
SUBDIVISION BLOCK LOT
RE# ElAi6DENTIAL ❑ COMMERCIAL ❑ OTHER
APPLICANT INFORMATION
NAME bb Li _ bonunsc) PHONE#
ADDRESS 7Q---/L,7_, Q i--1 c b Y . CELL#904— 4, G-6' 1
CITY .L-c C ,,, .1_,L STATE rt., ZIP CODE 22 '3 3
EMAIL rto(941 i ;n"b 2.(1)a a_ . cm--y, O NER ❑ LEGAL AUTHORIZED AGENT
I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation", of
the Municipal Code of Ordinances for the City of Atlantic Beach Florida and/or I have participated in a pre-
application meeting with the Administrator of those regulations. Subsequently, I affirm that no regulated
trees and no regulated vegetation will be damaged, destroyed and/or removed from the above-described
property and/or adjacent properties including right-of-way.
I HEREBY CERTIF HAT ALL INFORMATION PROVIDED IS CORRECT:Signature of Property Owner(s)or Authorized Agent
c).c., ,
IGNATURE OF APPLICANT PRINT OR TYPE NAME DATE
SIGNATURE OF APPLICANT(2) PRINT OR TYPE NAME DATE
Signed and sworn before me on this day of 00_4 ,`-u( by State of ri__ P-7(
Count of OV Q1
Y
2
Identification verified: S z I (C_-) ( -7 O 83 o /
C n r
Oath Sworn: El Yes ❑ No ,_ _ _ ��c__ '461 ,it
.;: TONI GINDLESPERGER otary ignature
MY COMMISSION#GG 353178
,' EXPIRES:October 6,2023 y Commission expires
':O,,`.°' Bonded Thai Notary Public Undernriters
04 TREE AND VEGETATION AFFIDAVIT 03.01.2018
rSyL�;y� City of Atlantic Beach APPLICATION NUMBER
js A" r) Building Department ! (To be assigned by the Building Department.)
800 Seminole Road RQ_CA9 .. S
Atlantic Beach, Florida 32233-5445 OCT 29 2019 6 LJa
Phone(904)247-5826 • Fax(904)24t-t845 CZ-8'l °
\<1Ent 9- E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us BY:
APPLICATION REVIEW AND TRACKING FORM
Property Address: (S Ql)Pk--El C 2 Department review required Yes No
Cuildi
Applicant: (T U3 NE1 --- ming &Zoning)
Tree Administrator
Project: � l'��(> Cpubl Wo�rk_s�—�
(ublic Utilities —>
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 4,4pproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING G
Reviewed b Date: //�/—//
TREE ADMIN. Second Review: Approved as revised. ❑Denied. ❑Not applicable (( . .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
•
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
PUBLIC WORKS PLAN REVIEW COMMENTS
Date: (J — �� Application#: �G/ .)-- ,oys---
Prosect Address: 7s7) / L{
CONDITIONS OF APPROVAL TO PRINT ON PERMIT Check Box
to Select
Driveway All concrete driveway aprons must be 5"thick,4000 psi,with fibermesh from edge of pavement
Apron to the property line. Reinforcing rods or mesh are not allowed in the right-of-way. 0
(Commercial driveways—6" thick).
Full erosion control measures must be installed and approved prior to beginning any earth
Erosion disturbing activities. Contact the Inspection Line (247-5814) to request an Erosion and Sediment ❑
Control
Control Inspection prior to start of construction.
Onsite All runoff must remain on-site during construction.
Runoff
Post Const. If on-site storage is required, a post construction topographic survey documenting proper
TOPO construction will be required. All water runoff must go to retention area and retention overflow 0
Survey must run to street.
Pool Pool—Wellpoint (if used) must discharge into vegetated area 10' minimum from street or drainage ❑
Wellpoint feature (swale, structure or lagoon).
Roll off container company must be on City approved list(Advanced Disposal, Realco Recycling,
Roll off Shapells, Inc., Republic Services, Donovan Dumpsters, Phillips Containers,JDog/Dennis Junk
Container Removal,All American Roll Off,WCA Waste Corporation).Container cannot be placed on City ROW.
ROW
Restoration Full right-of-way restoration, including sod, is required. 4�
Utility Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid ❑
Road Cut 10' in each direction from the center of the cut. Repair must be shown on the plans.
Construction Provide construction site management plan, including location of silt fence, dumpster, portable ❑
Site Mgmt. toilet. Right-of-Way Permit is required if using right-of-way for construction parking. —/
Runoff All runoff must remain on-site. Cannot raise lot elevation.
Document Strongly suggest thorough documentation of impervious areas be recorded. 0
Impervious
Slab Slab and driveway to be fully removed. 0
Driveway
Maximum Maximum driveway width within the City right-of-way is 20'. 0
Driveway
Circular Maximum circular driveway width within the City right-of-way is 12'. 0
Driveway
•
Grass Full site to be grassed. 0
TOPMust provide a topographic(TOPO)survey with water retention for final CO Inspection. 0
Survey
Revision Any plan change must be submitted as a Revision to the Building Department. 0
Fencing All old fencing and debris must be removed from job site by Contractor. 0
Removed
Decking All old decking and debris must be removed from job site by Contractor. 0
Removed
Infra- Any damage done to infrastructure must be repaired by Contractor. 0
structure
Revised 2/26/19
Q3 h .f9 ' li-17// V
1191
07� /2Zt /17Ali oe/ r.
Pk rmhdd
hp ,e, d' 2r ii/ /Vrt
7 ik 10- o 'r , i 'X 0)2° -iflilv
( i A s2v1 ri .2,
rSJ/ oq 2 l xsi 1/ iii
/ 9r zC nd
ci6d V 4 x di
oe6 = or X 9r 7'1)°�1
oafs or X OI/ 107
/tea -6/ 2,2k 4od, )\z
rAPPL1 r
Sr�.y;y, City of Atlantic Beach
ICATION NUMBER
i✓ ak � Building Department (To be assigned by the Building Department.)
' 800 Seminole Road ! I C� (�
j._ ;. Atlantic Beach, Florida 32233-5445 ��ecl 1 V vC5
Phone(904)247-5826 • Fax(904)247-5845 I 0
-toll �� E-mail: building dept@coab.us Date routed: ZC�
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: c-7.56, P\ go Pk-'r(C 0 (a_. Department review required Yes No
CfUildinq)
Applicant: 0 ( t3ec2--- Wining &Zoning
. Tree Administrator
1 ;
MAP SHOWING BOUNDARY SURVEY OF
LOT 19-B, A\BB�, ACCORDING TO THE}�� PLAT OF
• AQUATIC Gi iDENS
AS RECORDED IN PLAT BOOK 38, PAGES 71 AND 71A OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: DEBRA A. DOMINGO, TICOR TITLE INSURANCE COMPANY,
ATLANTIC COAST TITLE SERVICES, INC. AND •
PFG LOANS, INC. D/B/A OF PROVIDENT FUNDING GROUP, INC.
C RIVE
,A QUA(°' RCw> 30.35' (R)
X-CUT `6'.?
iv 41.11 '05" E 30.35' (M)
2 3 N 41'11'05 n. L-30.47' (M)
P.T. •-7 rR) R.-..t00-0'REFERENCE LINE CONC. WALK
\M) 30.35' BEARING
• •\30.39' AM). .': - _ , . .'. INE' V-CUT
1/2" . AT BACK OF
PLS 4.9'_+ 7.3, .5'• WALK
1576 1/2 . •CONC.'• ' . `CONC.
CONC.. I:•••DRIVE • DRIVE
DRIVE
ri7 rN w rjP 4( nA s a o
,— •COV'D
D�0-9 CONC. j
g'0.5':1
.4' •'./
N 1.0'0.50.5 1 ,
10) -,\ .2 n4.0' 1 10.2 ).
n hl W
l� w O W U O
/...../16
/ >- W 1 & 2 STORY (1)<E-UN
OWON0
�iW� FRAME wwo
RESIDENCE „, it Z rl+
�`"E° NO. 756 \.
�z 10 ti
Id3C1013l VO lddV ION { } i' ti IN 0 14 8' 11.9' 0.1' N O
a31N3a { } ,'' N �G,o o Q
CI3AOaddd } I-' 0.3' °. °°I --A/?1
o,
�s 10.9' 3.2'PAD I PAD W
e
SNHOM 0119 d " bo
r) N 0, . to Zoa
1 ',1
aff
` O
\ -0-0 o____ ��'
APPROX. EDGE 7-- TOP PP O 0.1'
OF WATER pLS BANK, 0.7'X0.7'
0 15.7fi PHONE
�j \ RISER
Q .\ ill
�y S 0.4'
I 6. •
\'"15f'..4).)
1' F� S q 0�'1/0 �� $ ) CAP yj00`
• y FST/F F Q/N J I UNREADABLE `�J
IiQ��4S�'F 4„X4„
Ci) \ \ \ PLS
1576
I ZONE "X” = AREAS DETERMINED TO BE OUTSIDE THE 0.2%ANNUAL CHANCE FLOODPLAIN /FLOOD ZONE "X (SHADED)" = AREAS OF 0.2%ANNUAL CHANCE FLOOD; AREAS OF 1%ANNUAL "L
2E 2E WITH AVERAGE DEPTHS OF LESS THAN 1 FOOT OR MTh DRAINAGE AREAS LESS THAN 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1%ANNUAL.CHANCE FLOOD.
�E Y-.6.* GENERAL GENERAL felOTI W:
S 1. BEARINGS ARE BASED ON PLAT BOOK 38, PAGE 71A
2.STRUCTURE NO. 756 SHOWN HEREON LIES WITHIN FLOOD ZONE X
A SSOCIATED SURVEYORS INC. 3. TBEST HIS IS A
DETERMINED
RSURFACE SURVEY ONLY. THE PPANEL OD
EXTENTOFUNDERGROUND FOOTING ,
A LAND & ENGINEERING SURVEYS PIPES AND UTIUT1ES, IF ANY, NOT DETERMINED.
3846 BLANDING BOULEVARD 4.JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NI T
JACKSONVILLE, 32210 LOCATED BY THIS SURVEY.
NVFLORIDAFLO ID 5.THIS SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PUBL C
j RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS, TITLE,
11;;I!!
CERTIFICATE OF AUTHORIZATION NO. LB 0005488 COVENANTS, B.R.L'S, RESTRICTIONS, CLOSURES, TAKINGS OR ORDINANCES, ETp.
E S V THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL.
6.UNLESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION.
_REBY CERTIFY THIS SURVEY WAS DONE UNDER MY
:CT SUPERVISION AND MEETS THE MINIMUM TECHNICAL LEGERD/AZORIEVIATIONa
? FOR
LAND SURVEYING PUR UANT TO CHAPTER O SET IRON PIPE OR REBAR P_C. = POINT OF CURVE COV'D = COVERED
`ASSOC.SURVEY" OR L.B.5488 P.T. = POINT OF TANGENCY E.B_=ELECTRIC B0X
ORIDA ADMI ' TRAT}VER 472, F.S. • FOUND IRON PIN OR PIPE (IP) P.R_C. = POINT OF REVERSE CURVE
•� ■ FOUND CONCRETE MONUMENT (C.M.) P.C.C. = POINT OF COMPOUND CURVE
X = CROSS CUT OR DRILL HOLE (C) = COMPUTED DATA R/W= RIGHT OF WAY
BHATCH R FLORIDA CE FICATE3771 (R) =RECORD (M) = MEASURED CONC_AI CONCRETE B.T.= BUILDING 7E
R. RADIUS L. - ARC LENGTH A\C R CONDITIONER (E.T.) = SAVE E
L. STARLING FLORIDA C TIFICATE NO. 4579 O.R.B.=OFFICIAL RECORD BOOK ® =WATER METER -6,= UTILITY PO
YMOND J. SCHAEF FLORIDA CERTIFICATE NO. 6132 O.R.V. =OFFICIAL RECORD VOLUME P.EQ. =POOL EQUIPMENT -3.= GUY ANCHO
3 NO. 53909 P.R.M.=PERMANENT REFERENCE MONUMENT -O.U.-=OVER HEAD:UTILITIES CH CHO D
DATE 1 1-1 6-2007 B.R.L. =BUILDING RESTRICTION LINE X—X CHAIN LINK FENCE BTN. = BETWEE
,LE: 1" .= 30' DRAFTER S. Spurlin E.T. =ELECTRIC TRANSFORMER & PAD W—W WIRE' FENCE -0-0--WOOD FENC
4 J.E.A. =JACKSONVILLE ELECTRIC AUTHORITY C & R = COVENANTS & RESTRICTIONS
VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER